ICU Day 11

When the pulmonary and critical care fellow came in Andre’s room this morning he declared, “Let’s give Andre a shot at extubation. Everybody deserves at least one chance.” He wanted to see if Andre can be spared the tracheostomy which was all but certain from Sunday’s meeting with his attending physician.

So, they lowered Andre’s sedation and put him on a breathing trial. After an hour of him breathing on his own and having good blood gas levels, they pulled out his endotracheal tube. This was at around 12:15 PM. Three hours later, Andre was re-intubated because he was in distress as evidenced by his fast and shallow breathing, his blood numbers in the abnormal range (lower pH and high CO2 concentration), and his inability to cough out the secretions in his lungs that were likely contributing to his rapid respiratory rate.

He’s still asleep from the anesthesia that the doctor gave to him for the intubation process. I’m just here at the hospital waiting for the doctors to come by so I can give my consent to Andre’s tracheostomy. Thank goodness Andre and I did our legal paperwork right after his diagnosis almost three years ago. The power-of-attorney sure does come in handy for folks like us who are denied the automatic legal protections that comes with a civil marriage.